Provider Demographics
NPI:1932749835
Name:GRACE &MERCY HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:GRACE &MERCY HOME HEALTHCARE INC
Other - Org Name:GRACE&MERCYHOMEHEALTH CARELLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEYAMMA
Authorized Official - Middle Name:P
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-964-7770
Mailing Address - Street 1:4095 QUACKER BRIDGE RD PRINCETON JUNCTION, NJ 08550
Mailing Address - Street 2:4095 QUACKER BRIDGE RD
Mailing Address - City:WEST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08550
Mailing Address - Country:US
Mailing Address - Phone:609-964-7770
Mailing Address - Fax:609-964-7778
Practice Address - Street 1:4095 QUAKER BRIDGE RD, PRINCETON JUNCTION, NJ 08550
Practice Address - Street 2:
Practice Address - City:WEST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08550
Practice Address - Country:US
Practice Address - Phone:609-964-7770
Practice Address - Fax:609-964-7778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-09
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJAPLIELIEDMedicaid